Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $20.49 / $68.45	Facility		$6.11	$20.49	$68.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $8.30 / $20.49	Professional		$6.05	$8.30	$20.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $8.28 / $14.97	Facility		$6.42	$8.28	$14.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $12.80 / $29.64	Professional		$6.05	$12.80	$29.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $23.47 / $32.94	Facility		$22.17	$23.47	$32.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $19.88	Professional		$6.60	$6.60	$19.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $5.70 / $6.05	Facility		$5.70	$5.70	$6.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $7.26 / $15.43	Professional		$5.45	$7.26	$15.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $6.05 / $8.65	Facility		$5.70	$6.05	$8.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $13.09	Professional		$6.05	$6.05	$13.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $16.25	Professional		$6.05	$6.05	$16.25